<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-name" class="form-control" name="row[name]" type="text" data-rule="required">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Investment_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-investment_name" class="form-control" name="row[investment_name]" type="text" data-rule="required"> 
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Referrer')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-referrer" class="form-control" name="row[referrer]" type="text" data-rule="required">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Settle_street_ids')}:</label>
        <div class="col-xs-12 col-sm-8">
           <!--  <input id="c-settle_street_ids" data-rule="required" data-source="settle/street/index" data-multiple="true" class="form-control selectpage" name="row[settle_street_ids]" type="text" value=""> -->

            <select class="form-control" name="row[settle_street_ids]" title="请选择" data-rule="required">
                <option value="">请选择</option>
                {volist name="chargedep_list" id="vv" }
                    <option value="{$vv.id}">{$vv.name}</option>
                {/volist}
            </select>

        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('First_registration_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-first_registration_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[first_registration_time]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('First_registration_images')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-first_registration_images" class="form-control" size="50" name="row[first_registration_images]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="plupload-first_registration_images" class="btn btn-danger plupload" data-input-id="c-first_registration_images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-first_registration_images"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <!-- <span><button type="button" id="fachoose-first_registration_images" class="btn btn-primary fachoose" data-input-id="c-first_registration_images" data-mimetype="image/*" data-multiple="true"><i class="fa fa-list"></i> {:__('Choose')}</button></span> -->
                </div>
                <span class="msg-box n-right" for="c-first_registration_images"></span>
            </div>
            <ul class="row list-inline plupload-preview" id="p-first_registration_images"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Second_registration_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-second_registration_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[second_registration_time]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Second_registration_images')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-second_registration_images" class="form-control" size="50" name="row[second_registration_images]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="plupload-second_registration_images" class="btn btn-danger plupload" data-input-id="c-second_registration_images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-second_registration_images"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <!-- <span><button type="button" id="fachoose-second_registration_images" class="btn btn-primary fachoose" data-input-id="c-second_registration_images" data-mimetype="image/*" data-multiple="true"><i class="fa fa-list"></i> {:__('Choose')}</button></span> -->
                </div>
                <span class="msg-box n-right" for="c-second_registration_images"></span>
            </div>
            <ul class="row list-inline plupload-preview" id="p-second_registration_images"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Final_confirm_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-final_confirm_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[final_confirm_time]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Final_confirm_images')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-final_confirm_images" class="form-control" size="50" name="row[final_confirm_images]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="plupload-final_confirm_images" class="btn btn-danger plupload" data-input-id="c-final_confirm_images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-final_confirm_images"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                    <!-- <span><button type="button" id="fachoose-final_confirm_images" class="btn btn-primary fachoose" data-input-id="c-final_confirm_images" data-mimetype="image/*" data-multiple="true"><i class="fa fa-list"></i> {:__('Choose')}</button></span> -->
                </div>
                <span class="msg-box n-right" for="c-final_confirm_images"></span>
            </div>
            <ul class="row list-inline plupload-preview" id="p-final_confirm_images"></ul>
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Reward_application_time')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-reward_application_time" class="form-control datetimepicker" data-date-format="YYYY-MM-DD" data-use-current="true" name="row[reward_application_time]" type="text" value="">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Reward_application_images')}:</label>
        <div class="col-xs-12 col-sm-8">
            <div class="input-group">
                <input id="c-reward_application_images" class="form-control" size="50" name="row[reward_application_images]" type="text">
                <div class="input-group-addon no-border no-padding">
                    <span><button type="button" id="plupload-reward_application_images" class="btn btn-danger plupload" data-input-id="c-reward_application_images" data-mimetype="image/gif,image/jpeg,image/png,image/jpg,image/bmp" data-multiple="true" data-preview-id="p-reward_application_images"><i class="fa fa-upload"></i> {:__('Upload')}</button></span>
                   <!--  <span><button type="button" id="fachoose-reward_application_images" class="btn btn-primary fachoose" data-input-id="c-reward_application_images" data-mimetype="image/*" data-multiple="true"><i class="fa fa-list"></i> {:__('Choose')}</button></span> -->
                </div>
                <span class="msg-box n-right" for="c-reward_application_images"></span>
            </div>
            <ul class="row list-inline plupload-preview" id="p-reward_application_images"></ul>
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
